Jeremy Miera
Contractor in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1124493085
StatusActive
Last updated in NPPESDec 3, 2015
Details
- NPI
- 1124493085
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Miera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2015
- Last updated
- Dec 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 3174 | NM | Yes |
Practice location
2557 Chessman Dr NeRio Rancho, NM 87124-6517
Phone 505-720-3941
Mailing address
2557 Chessman Dr NeRio Rancho, NM 87124-6517
Phone 505-720-3941
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